發(fā)布時間：2018-02-11 01:07

  本文關(guān)鍵詞： 髕骨 脫位 CT 測量 治療　出處：《河北醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:比較髕骨脫位患者和健康志愿者膝關(guān)節(jié)CT下的各種數(shù)據(jù),分析髕骨脫位患者與正常人群組織結(jié)構(gòu)上的差異,確定髕股關(guān)節(jié)解剖學(xué)異常在患者中的發(fā)病情況,為診斷和治療提供相關(guān)的依據(jù)。方法:回顧性分析本院2005年至2014年的100例髕骨脫位患者的CT檢查和臨床數(shù)據(jù),并征集了100例健康志愿者作為對照組。對比兩組在影像學(xué)上的差異,測量了外側(cè)髕股角,髕骨傾斜角,髕骨傾斜度,溝角,適合角,滑車溝深度和TT-TG間距。根據(jù)測量結(jié)果,將髕骨脫位患者分為有解剖異常組和無解剖異常組,比較兩組臨床數(shù)據(jù)的差異。結(jié)果:全部六項(xiàng)測量值在病患組和對照組間均有顯著的統(tǒng)計(jì)學(xué)差異(P0.05),髕骨外側(cè)角(-12.73±17.77 vs 7.82±5.34),髕骨傾斜角(22.93±11.34 vs 8.67±3.56),適合角(40.24±26.24 vs 5.25±20.68),溝角(155.85±11.39 vs 140.22±5.49),滑車溝深度(2.82±1.26 vs 5.66±1.21),TT-TG(19.84±6.27 vs 14.12±4.00)。有88.75%的患者存在滑車發(fā)育異常,有52.04%的患者存在髕骨旋轉(zhuǎn)力學(xué)異常。且存在解剖異常的患者組的發(fā)病年齡明顯低于無解剖異常組,雖兩組在疼痛上無統(tǒng)計(jì)學(xué)差異,但存在解剖異常組的患者發(fā)病年限更長,脫位次數(shù)更多,恐懼試驗(yàn)陽性率更高,髕骨研磨試驗(yàn)陽性率也更高。結(jié)論:髕骨脫位患者中絕大多數(shù)存在有不同程度的解剖學(xué)異常,因此,對于髕骨脫位患者,尤其初次發(fā)病的青少年患者,不應(yīng)簡單的給予保守治療,而應(yīng)詳細(xì)檢查,明確其致病原因,給予更加積極的、針對病因的個體化治療,以期達(dá)到減少再脫位,預(yù)防并發(fā)癥發(fā)生的作用。
[Abstract]:Objective: to compare the CT data of patellar dislocation patients and healthy volunteers, to analyze the difference of tissue structure between patellar dislocation patients and normal subjects, and to determine the incidence of patellofemoral joint anatomical abnormality in patients. Methods: Ct findings and clinical data of 100 patients with patellar dislocation from 2005 to 2014 were retrospectively analyzed. The lateral patellofemoral angle, patellar angle, patellar angle, patellar angle, suitable angle, trochlear groove depth and TT-TG spacing were measured. Patients with patellar dislocation were divided into anatomic abnormal group and no anatomic abnormal group. Results: there were significant statistical differences between the two groups in all the six measurements (P 0.05). The lateral patellar horn was 12.73 鹵17.77 vs 7.82 鹵5.34, the patellar angle was 22.93 鹵11.34 vs 8.67 鹵3.56A, the suitable angle was 40.24 鹵26.24 vs 5.25 鹵20.68, the furrow angle was 155.85 鹵11.39 vs 140.22 鹵5.49m, and the angle of patellar obliquity was 22.93 鹵11.34 vs 8.67 鹵3.56A, and the suitable angle was 40.24 鹵26.24 vs 5.25 鹵20.68, 155.85 鹵11.39 vs 140.22 鹵5.49m. The depth of cleavage was 2.82 鹵1.26 vs 5.66 鹵1.21 TT-TGN 19.84 鹵6.27 vs 14.12 鹵4.000.There were 88.75% patients with abnormal development of trochlear. 52.04% of the patients had abnormal rotational mechanics of patella, and the age of onset in the group with anatomic abnormality was significantly lower than that in the group without anatomic abnormality. Although there was no statistical difference in pain between the two groups, the age of onset in the group with anatomic abnormality was longer than that in the group with anatomic abnormality. The frequency of dislocation is higher, the positive rate of fear test is higher, and the positive rate of patellar abrasion test is higher. Conclusion: most of the patients with patellar dislocation have different degrees of anatomic abnormality. In particular, young people with initial onset should not simply be given conservative treatment, but should be examined in detail, their causes should be clearly identified, and individualized treatment should be given to the cause of the disease more actively, in order to reduce redislocation. The role of preventing complications.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R681.8

【參考文獻(xiàn)】

相關(guān)期刊論文 前7條

1 王浩宇;王成海;王飛;馬龍飛;周建偉;紀(jì)剛;;半隧道骨橋固定和錨釘縫合固定雙束解剖重建內(nèi)側(cè)髕股韌帶治療髕骨脫位的臨床研究[J];中國矯形外科雜志;2013年16期

2 周建偉;王飛;陳百成;王成海;馬龍飛;紀(jì)剛;董江濤;王娟;;髕骨半隧道技術(shù)重建內(nèi)側(cè)髕股韌帶治療髕骨脫位[J];中華外科雜志;2012年12期

3 王飛;陳百成;康慧君;王軍;劉虎;董江濤;;單束等長重建和雙束解剖重建內(nèi)側(cè)髕股韌帶的臨床研究[J];中華外科雜志;2010年12期

4 安福,柳永明,柳直,溫劍濤,鄧強(qiáng),劉忠;改良Galeazzi手術(shù)治療復(fù)發(fā)性髕骨脫位18例[J];甘肅中醫(yī)學(xué)院學(xué)報;2004年02期

5 夏亞一,孫正義;改良上畸法治療髕骨脫位、半脫位12例報告[J];中國微創(chuàng)外科雜志;2003年04期

6 吳海山，，徐青鐳;關(guān)節(jié)鏡下支持帶松解術(shù)治療髕股關(guān)節(jié)紊亂的評價[J];中國矯形外科雜志;1995年03期

7 徐莘香;改良Galeazzi－Baker術(shù)治療復(fù)發(fā)性髕骨脫位[J];中華骨科雜志;1994年06期

本文編號：1501875